| NPI | 1992084727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.127461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198865) |
| 207R00000X Internal Medicine (Licence: TX P8968) | |
| 207R00000X Internal Medicine (Licence: OH 35.127461) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-05-05 |